Individual
LAUREN MARIE BOURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 906-4564
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31863
CA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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